Demo

Sr Claim Examiner- WC

TPI Global (formerly Tech Providers, Inc.)
Zurich, IL Temporary
POSTED ON 1/14/2025
AVAILABLE BEFORE 4/10/2025

Position - Claim Examiner- WC

Location-Remote

Duration- 03  Months contract (High Possibility to extend)

Duties :

  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
  • Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
  • Analyzes claims activity and prepares reports for clients / carriers and management.
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
  • Develops subrogation and third-party recovery potential and follows reclaim procedures.
  • Analyzes claims activities and prepares reports for clients, carriers, and / or management.
  • Participates in claim reviews.

Skills :

  • Bachelor's degree or equivalent experience.
  • Technical claims investigations / settling experience with 4-8 years’experience in Claims or similar organization.
  • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
  • Preferred : - Industry designations such as IIA, AIC, AEI and / or CPCU
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